- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06051708
Risk Factors And Outcomes Of Hospital Acquired AKI
Risk Factors And Outcomes Of Hospital Acquired Acute Kidney Injury: A Tertiary Health Care Center Experience
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Hospital-acquired AKI (HAAKI) is defined as acute renal insult occurring 48 hours or more after admission to a health care facility and It is estimated to occur in 13-18% of hospitalized patients. The early diagnosis of HAAKI reflects on improvement in morbidity and mortality rates especially in developing countries which goes parallel with the goal The International Society of Nephrology (ISN) to eliminate preventable or treatable deaths from AKI by 2025, the "0 by 25" initiative.
Data concerning the spectrum of acute kidney injury (AKI) in Egypt are generally scarce.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Mohamed Mamdouh Elsayed, MD
- Phone Number: 00201068055103
- Email: dr_mohamedmamdouh87@yahoo.com
Study Locations
-
-
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Alexandria, Egypt, 21526
- Recruiting
- Faculty of Medicine, Aexandria University
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Contact:
- Mohamed Mamdouh Elsayed, MD
- Email: dr_mohamedmamdouh87@yahoo.com
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
This research is a prospective cohort study that will include hospitalized patients in Alexandria Main University Hospital (in non-intensive care unit sittings) admitted over a period of sixteen weeks.
Patients will be divided into two groups:
Group (A) : patients who are hospitalized and develop acute kidney injury after 48 hours from admission.
Group (B) : patients who are hospitalized and do not develop acute kidney injury after 48 hours from admission till discharge.
All participants will be followed till discharge and after 3 months to assess outcomes.
Description
Inclusion Criteria:
- Fulfilment of definition of acute kidney injury according to KDIGO reference.
- Age more than 18 years.
Exclusion Criteria:
- Mentally or physically unfit patients.
- Patients who developed acute kidney injury within 48 hours of admission to hospital.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
AKI group
patients who are hospitalized and develop acute kidney injury after 48 hours from admission
|
AKI care bundle include use of iv fluids, diuretics, antihyperkalemic drugs, sodium bicarbonate, antibiotics in septic patients.
|
no AKI group
patients who are hospitalized and do not develop acute kidney injury after 48 hours from admission till discharge
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this includes iv fluids, diuretics, antibiotics in septic patients, other measures according to original disease
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Recovery of kidney functions
Time Frame: 12 weeks
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(improvement of eGFR, serum creatinine to normal or previous baseline).
|
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
progression to chronic kidney disease.
Time Frame: 12 weeks
|
deterioration of kidney functions ( creatinine, eGFR)
|
12 weeks
|
mortality
Time Frame: 12 weeks
|
death
|
12 weeks
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Need for renal replacement therapy
Time Frame: 12 weeks
|
different modalities of RRT
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12 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Mohamed mamdouh Elsayed, MD, lecturer
- Principal Investigator: Hala S ElWakil, MD, professor
- Study Chair: yasmine s naga, MD, ASS. prof
- Study Chair: sara R Nagib, MBBCh, Resident
Publications and helpful links
General Publications
- Singh TB, Rathore SS, Choudhury TA, Shukla VK, Singh DK, Prakash J. Hospital-acquired acute kidney injury in medical, surgical, and intensive care unit: A comparative study. Indian J Nephrol. 2013 Jan;23(1):24-9. doi: 10.4103/0971-4065.107192.
- Sawhney S, Mitchell M, Marks A, Fluck N, Black C. Long-term prognosis after acute kidney injury (AKI): what is the role of baseline kidney function and recovery? A systematic review. BMJ Open. 2015 Jan 6;5(1):e006497. doi: 10.1136/bmjopen-2014-006497. Erratum In: BMJ Open. 2015;5(1):e006497corr1.
- Hsu CN, Lee CT, Su CH, Wang YL, Chen HL, Chuang JH, Tain YL. Incidence, Outcomes, and Risk Factors of Community-Acquired and Hospital-Acquired Acute Kidney Injury: A Retrospective Cohort Study. Medicine (Baltimore). 2016 May;95(19):e3674. doi: 10.1097/MD.0000000000003674.
- Ponce D, Balbi A. Acute kidney injury: risk factors and management challenges in developing countries. Int J Nephrol Renovasc Dis. 2016 Aug 22;9:193-200. doi: 10.2147/IJNRD.S104209. eCollection 2016.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Hospiat Acq. AKI
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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